图书简介
Brain Death, Third Edition introduces new research in the intensive care unit, newly unearthed historical data on important US-UK differences, a thorough discussion of US guidelines and how it is used in hospital practices, and compares guidelines used elsewhere in the world. In this incisive work, the many complexities of diagnosis and management of brain death are examined but it also illuminates cultural beliefs and bioethical problems, highlights the nature of conferences with family members, and captures several organ procurement issues. The book also includes 30 commonly asked practice problems to resolve diagnostic uncertainties and conflicts along with 12 video clips to assist in neurological evaluation.
Preface to the Third Edition; Preface to the Second Edition; Acknowledgments; Chapter 1: History of Brain Death; A New Comatose State Appears; Defining Neurologic Criteria for Death in Us; Chapter 2: Neurology of Brain Death; The Pathology of Brain Death; Clinical Examination in Adults; The Clinical Determination of Brain Death in Children; Documentation; Teaching Brain Death Determination; Errors and Alleged Recoveries; Legal Definitions and Obligations; Chapter 3: International Criteria of Brain Death; Guidelines in the United Kingdom; Guidelines World Wide; Consensus for a Uniform World Wide Standard; Chapter 4: Beliefs About Brain Death; Religious Beliefs; Cultural Views; Religious Conflict Resolution; Chapter 5: Critics and Brain Death; The Uncertainty of Death; Emerging Controversies; Critique; Chapter 6: Procurement After Brain Death; Transitioning to Organ Donation; Organ Procurement Organizations; Organ Donation Requests; Preparation for Determining Organ Suitability; Donation Protocols; Medical Management of the Organ Donor; Chapter 7: Clinical Problems in Brain Death and Organ Donation; 1. The Qualifications of the Examiner; 2. Clinical Mimics; 3. Acid-Base Disturbances; 4. Electrolyte Abnormalities; 5. Acute Intoxications and Overdose; 6. Reliability of Ancillary Tests; 7. Ancillary Tests and Confounders; 8. Primary Brainstem Lesion; 9. Uncertainty About Interpreting Spinal Reflexes; 10. Ventilator Autocycling; 11. Chronic CO2 Retention and Apnea Test; 12. Terminating the Apnea Test; 13. Breathing during the Apnea Test; 14. Pneumothorax during the Apnea Test; 15. Cardiopulmonary Resuscitation; 16. Extracorporeal Membrane Oxygenation; 17. Anencephaly; 18. Shaken Baby Syndrome; 19. Maternal Brain Death; 20. Legal Challenges; 21. Family Opposition; 22. Family Presence during Testing; 23. Sperm and Oocyte Retrieval; 24. Organ Donation Management; 25. Organ Donation and the Hemodynamically Unstable Donor; 26. DCD Pitfalls; 27. DCD in the Operating Room; 28. Organ Donation in Prisoners; 29. Organ Donation, Consent and Costs; 30. Organ Donation and Directing the Gift; Index
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